Individual
KATHERINNE MELGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 LAKEWOOD CIR STE C201, COLORADO SPRINGS, CO 80910
(719) 290-7130
Mailing address
2010 PIROS DR, COLORADO SPRINGS, CO 80915-4202
(719) 290-7130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437321189
TRI-CARE (HEALTHNET)
CO
Enumeration date
12/14/2017
Last updated
05/13/2019
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